| NPI | 1306627476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY COBB CFO 740-751-4531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-12-22 |